Dr John Landiss Logan, MD | |
2005 E 18th Ave, Denver, CO 80206-1109 | |
(303) 321-4212 | |
(303) 388-2459 |
Full Name | Dr John Landiss Logan |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 53 Years |
Location | 2005 E 18th Ave, Denver, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124020771 | NPI | - | NPPES |
01322007 | Medicaid | CO | |
340012614 | Other | CO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 32200 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kit Carson County Memorial Hospital | Burlington, CO | Hospital |
Lincoln Community Hospital | Hugo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Denver Urology Clinic Pc | 4880582766 | 2 |
Entity Name | Denver Urology Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356386221 PECOS PAC ID: 4880582766 Enrollment ID: O20040310001099 |
Entity Name | Rocky Mountain Lithotripter Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134202435 PECOS PAC ID: 5395737985 Enrollment ID: O20040401001756 |
Mailing Address | Practice Location Address |
---|---|
Dr John Landiss Logan, MD 2005 E 18th Ave, Denver, CO 80206-1109 Ph: (303) 321-4212 | Dr John Landiss Logan, MD 2005 E 18th Ave, Denver, CO 80206-1109 Ph: (303) 321-4212 |
Dr. John William Tillett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. Marklyn Jon Jones, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. Michael Thomas Davenport, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2045 N Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Dr. Dustin R Ridout, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2045 Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Dr. Edward Allen Rhodes, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Milford Ray Painter Jr., Urology Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Denver, CO 80205 Phone: 877-320-1692 | |
Austin Banning Derosa, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 |